The focus of this rotation is providing care as part of a multidisciplinary team for adolescents with eating disorders. Throughout the first and second years of fellowship, fellows will spend 2 half days a week in the eating disorder clinic of Children’s Mercy Hospital. In this clinic, the fellow will work with a multidisciplinary team of providers, nurses, social workers, child psychologists, and nutritionists to provide consultative evaluations and ongoing care to adolescents 12-21 years old with eating disorders including: Anorexia Nervosa and Bulimia Nervosa,. Fellows will learn how to evaluate adolescents and families with potential disordered eating, assess and manage the physiological effects of disordered eating, how to establish and maintain a therapeutic relationship with patients and families, and how to support the other members of the team caring for an adolescent with an eating disorder. Fellows will gain this experience by evaluation of new patients or chronic patients from another provider and providing ongoing longitudinal care for these patients and families under the supervision of experienced providers.
Eating Disorder/Adolescent Medicine Consultation Service:
The Eating Disorder Inpatient Service provides supportive care and nutritional rehabilitation for adolescents with eating disorders requiring short-term hospitalization who are followed for outpatient care in our eating disorder center or by other community providers. All patients are admitted to the Pediatric Hospitalist Team with the Eating Disorder Inpatient Service providing consultation. At the beginning of fellowship the fellow will complete a 4 week inpatient rotation on Eating Disorder Inpatient Service. During this rotation, the fellow will spend 5 half days a week working with an experienced Adolescent Medicine practitioner providing consultation on the management of hospitalized adolescents with eating disorders. During this rotation the fellow will learn about the evaluation, management, and disposition of hospitalized adolescents with eating disorders.
After the initial 4-week rotation, the fellow will be on-service every 6th week to cover the inpatient wards on weekends and holidays. During the week on-call, the fellow will also be responsible for inpatient consultations and outpatient telephone consultations coming from community providers on eating disorders and other adolescent issues in conjunction with one of the Adolescent Medicine Staff providers.